Organization
MICHAEL L. DITMARS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L. DITMARS MEDICAL DOCTOR (PRESIDENT)
(310) 264-1702
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD, SUITE 660W, SANTA MONICA, CA 90404-2102
(310) 264-1702
Mailing address
2001 SANTA MONICA BLVD, SUITE 660W, SANTA MONICA, CA 90404-2102
(310) 264-1702
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G80207
CA
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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